moderate“People's care plans and risk assessments did not always identify how to support them with their individual needs.”
moderate“1 person lived with Asthma and that there was no risk assessment in place to guide staff in supporting the person if they became unwell.”
consent capacity
1 finding
critical“Mental capacity assessments and best interest decisions were not completed for some people who needed them...we could not be sure that people were not being unlawfully restricted”
governance
1 finding
critical“The provider's governance and quality assurance systems were not effective. This was a breach of Regulation 17 (Good governance) of the Health and Social Care Act 2008”
infection control
1 finding
minor“There was no guidance in care plans that highlighted the need for staff to use PPE...infection control and recruitment audits...were not being carried out”
staff training
1 finding
minor“Staff had not always received training in some non-mandatory areas of care.”